| Gregory Derrick Tallent, PAC | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3100 | |
| Not Available |
| Full Name | Gregory Derrick Tallent |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982716585 | NPI | - | NPPES |
| 1020 | Other | SC | MEDICAL LICENSE |
| CM7718 | Other | RAILROAD MEDICARE | |
| 02914 | Other | NC | NC BCBS |
| GP1062 | Medicaid | SC | |
| 8902914 | Medicaid | NC |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Certus Psychiatry And Integrated Care Pllc | 0244506756 | 17 |
| Entity Name | Raleigh Emergency Medicine Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790736973 PECOS PAC ID: 9537067343 Enrollment ID: O20031230000486 |
| Entity Name | The Carolinas Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Western Carolina Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
| Entity Name | Gastonia Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523 |
| Entity Name | Certus Psychiatry and Integrated Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609317569 PECOS PAC ID: 0244506756 Enrollment ID: O20171030000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Derrick Tallent, PAC 2500 Blue Ridge Rd Ste 417, Raleigh, NC 27607-7516 Ph: (919) 787-9097 | Gregory Derrick Tallent, PAC 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 |
Nader Cyrus Emami-kelishadi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 703-585-0860 |
Charlotte Rowe Spangler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609 Phone: 919-277-9841 |
Mrs. Bailey Hardy Underhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 Fax: 919-350-7204 |
Mrs. Emily Lauren Voynovich Parrella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13271 Strickland Rd Ste 120, Raleigh, NC 27613 Phone: 919-741-4677 Fax: 919-741-6349 |
Ms. Micaela Marie Hofer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 |
Darren Richard Kirk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2605 Blue Ridge Rd Ste 300, Raleigh, NC 27607 Phone: 919-787-3448 |
Katherine Williams, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3237 Blue Ridge Rd, Raleigh, NC 27612 Phone: 919-781-7500 |